Forms
Please download and bring completed
paperwork from section one. Section two includes information
that you should read and review before you appointment. If
you would prefer to have these forms mailed to you, please
call our office. All forms are in PDF
format.
For All Clients (complete and
bring to first session)
Screening
Form
Consent
to Treatment and Recipient's Rights
Therapist's
Ethics Statement
Payment
Contract for Services
Release
of Information Consent
For All Clients (review prior
to first session)
Code of Ethics
and Mission Statement
Recipient's
Rights Notification
Privacy
of Information Policies
Financial
Policy
Complete as Directed by Therapist
Request
for Listing of Disclosures of Client Records
Request
for Alternative Means of Confidential Information
Request
for Restricted Use/Disclosure of Records
Request
to Amend Health Records
Preauthorization
for Health Care
Agreement
Regarding Minors
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